KIM R. GIBSON, District Judge.
Pending before the Court is the Motion to Dismiss (ECF No. 12) filed by Defendants CBIZ, Inc., CBIZ Benefits & Insurance Services, Inc., and Jon S. Ketzner (collectively "CBIZ"). CBIZ's Motion asks the Court to dismiss the entirety of Plaintiffs' Complaint for failure to state a claim upon which relief can be granted pursuant to Federal Rule of Civil Procedure 12(b)(6).
This case arises from Plaintiff UPMC's acquisition of Plaintiff Altoona Regional Health System—an acquisition which, according to Plaintiffs, came with a $132.5 million surprise in the form of CBIZ's negligent understatement of Altoona Regional Health System's pension plan liabilities. For the reasons that follow, CBIZ's Motion to Dismiss will be
On September 16, 2016, UPMC and UPMC Altoona, formerly known as Altoona Regional Health System ("Altoona"), filed their three-count Complaint (ECF No. 1) with the Court, alleging claims of (1) professional negligence, (2) breach of contract, and (3) negligent misrepresentation against CBIZ. On November 23, 2016, CBIZ filed the present Motion to Dismiss (ECF No. 12) and its accompanying Brief in Support (ECF No. 13). UPMC and Altoona filed their Opposition to Defendants' Motion to Dismiss on January 4, 2017 (ECF No. 29), followed by CBIZ's Reply in Support of Their Motion to Dismiss on February 2, 2017 (ECF No. 32), UPMC and Altoona's Supplemental Memorandum in Opposition to Defendants' Motion to Dismiss on April 10, 2017 (ECF No. 45), and, finally, CBIZ's Response to Plaintiffs' Supplemental Brief on April 17, 2017 (ECF No. 46).
The following facts, which the Court accepts as true in deciding CBIZ's Motion to Dismiss, are alleged in the Complaint (ECF No. 1).
UPMC owns and operates nonprofit healthcare facilities in and around Pittsburgh, Pennsylvania and is the parent and supporting organization for numerous other nonprofit healthcare providers throughout the Commonwealth. (ECF No. 1 ¶ 1.) Altoona Regional Health System operated healthcare facilities in Altoona, Pennsylvania and the surrounding area. (Id. ¶ 2.)
Until July 1, 2013, Altoona Regional Hospital operated two noncontributory defined benefit pension plans covering all employees who met certain eligibility requirements ("the Plans"). (Id. ¶¶ 3, 16.) On July 1, 2013, UPMC acquired Altoona Regional Health System and renamed it "UPMC Altoona." (Id. ¶ 3.) As part of this transaction, UPMC acquired all of Altoona's assets and liabilities, including the Plans. (Id. ¶ 3.) Shortly thereafter, Altoona merged the two Plans and, on December 31, 2014, UPMC merged the now-singular Altoona Plan into UPMC's pension benefit plan. (Id. ¶ 16.)
From approximately 2002 through February 2015, Altoona engaged CBIZ to provide actuarial evaluation services for the Plans for a substantial fee. (Id. ¶¶ 10, 23.) These services, which CBIZ represented itself to Altoona as being experienced, qualified, and capable of providing, included (1) the calculation of benefits owed for purposes of funding the Plans in compliance with ERISA requirements and for the determination of premiums owed to the Pension Benefit Guaranty Corporation ("PBGC"); (2) valuing the Projected Benefit Obligation expense under Generally Accepted Accounting Principles ("GAAP") for the purpose of including the pension plan expenses in Altoona's financial statements; (3) certifying the Plans' funded ratios; (4) preparing required filing such as schedules to the Plans' annual Form 5500s to its regulators; and (5) certifying the Plans' PBGC premium filings. (Id. ¶¶ 22, 24.)
Defendant Jon S. Ketzner, a CBIZ, Inc. and CBIZ B&I, Inc. employee until January 1, 2015, was the "lead and sole actuary" engaged to value the obligations and liabilities on the Plans. (Id. ¶ 7.) Ketzner is an Enrolled Actuary, a Member of the American Academy of Actuaries, a Fellow of the Conference of Consulting Actuaries, and a Member of the American Society of Pension Professional and Actuaries' College of Pension Actuaries. (Id.) Accordingly, he is bound to follow and uphold actuarial standards of professional conduct and competence. (Id.)
However, according to the Complaint, from at least July 2008 through February 2015, CBIZ and Ketzner failed to adhere to these actuarial standards of practice and, consequently, undervalued the Plans' liabilities for funding, compliance, and accounting purposes. (Id. ¶ 29.) Allegedly, CBIZ admits to committing three substantial mistakes in its valuation that understated the liabilities under the Plan by at least $132.5 million. (Id. ¶¶ 32-33.) Until March 2015, this undervaluation was undisclosed, unknown, and unknowable by Altoona and UPMC because the undervaluation was the result of erroneous assumptions and methodologies undisclosed in the reports produced by CBIZ. (Id. ¶ 31.) In early March 2015, Alvin Winters, another CBIZ actuary who began reviewing the Altoona valuation upon Ketzner's retirement in early 2015, discovered and disclosed the serious errors in Ketzner's assumptions and methodology. (Id.)
The Complaint specifically identifies two injuries that Altoona suffered from CBIZ's alleged errors. First, had CBIZ valued the Plans properly, the Plans would have mandatorily "frozen"— one plan on October 1, 2011 and the other plan on October 1, 2012— due to insufficient funding, and no new benefits would have accrued to any participants. (Id. ¶ 34.) Second, UPMC and Altoona "may" be required to pay excise taxes, penalties, interest, and back premiums to the Internal Revenue Service ("IRS") and the PBGC. (Id. ¶¶ 57-59.)
UPMC is a Pennsylvania nonprofit corporation with its principal place of business in Pittsburgh, Pennsylvania. (ECF No. 1 ¶ 1.) Altoona is likewise a Pennsylvania nonprofit corporation, with its principal place of business in Altoona, Pennsylvania. (Id. ¶ 2.) Plaintiffs allege that CBIZ, Inc. is a Delaware corporation with its principal place of business in Cleveland, Ohio, that CBIZ B&I is a Missouri corporation,
A complaint may be dismissed under Federal Rule of Civil Rule 12(b)(6) for "failure to state a claim upon which relief can be granted." Connelly v. Lane Const. Corp., 809 F.3d 780, 786 (3d Cir. 2016). But detailed pleading is not generally required. Id. The Rules demand only "a short and plain statement of the claim showing that the pleader is entitled to relief" in order to give the defendant fair notice of what the claim is and the grounds upon which it rests. Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555 (2007) (quoting Fed. R. Civ. P. 8(a)(2)).
Under the pleading regime established by Twombly and Iqbal, a court reviewing the sufficiency of a complaint must take three steps.
CBIZ has moved to dismiss the Complaint in its entirety based on three primary arguments: (1) Count 1 and Count 2 should be dismissed for failure to allege damages, (2) Count 1 should be dismissed because Pennsylvania law does not recognize a claim for professional negligence against actuaries, and (3) Count 3 should be dismissed for failure to allege "any" of the essential elements of a negligent misrepresentation claim. (ECF No. 13.) The Court will address each of CBIZ's three theories in turn.
In Count 1 and Count 2 of the Complaint, Altoona—and only Altoona—brings claims of negligence and breach of contract against CBIZ. (ECF No. 1 at 15-16.) CBIZ responds by arguing that "[b] oth counts should be dismissed for failure to allege damages, because Altoona benefited by UPMC's assumption of the alleged $123 million
In fact, CBIZ goes one step further and posits the theory that, not only was Altoona not injured, but Altoona actually received a "windfall." (Id. at 7.) CBIZ argues that, as pleaded in the Complaint, Altoona benefited from CBIZ's alleged negligence and breach of contract because UPMC likely would not have acquired Altoona or would have negotiated a less favorable deal for Altoona had UPMC been aware of the full pension obligation. (Id.) In essence, CBIZ suggests that it actually did Altoona a favor by allegedly performing severely flawed calculations because Altoona was able to transfer all of its pension liabilities to an unwitting UPMC— a transfer which would not have occurred, at least on the terms on which it did, unless CBIZ's flawed evaluations had concealed the true extent of Altoona's pension liabilities. (Id.)
In response to Altoona's allegation of damages in the form of excise taxes, penalties, interest, and back premiums to the IRS and the PBGC (ECF No. 1 ¶¶ 57-59), CBIZ suggests that these allegations amount to nothing more than potential future damages that are too speculative to make out a cognizable claim. (ECF No. 13 at 7.) Moreover, CBIZ argues that, even if these potential future damages are not overly speculative, UPMC also alleges that it assumed "the anticipated regulatory burden (and the additional penalties, interest and back premiums)," so Altoona itself suffered no harm. (Id.) Accordingly, CBIZ concludes that Count 1 and Count 2 should be dismissed for failure to allege damages.
However, as Altoona points out (ECF No. 29 at 10), CBIZ misinterprets the relevant Pennsylvania law regarding "benefits" caused by defendants' misconduct and asks the Court to impose a more onerous pleading standard than that required by the Federal Rules of Civil Procedure and case law.
While neither party laid out the elements of either a professional negligence or a breach of contract claim under Pennsylvania law in their extensive briefs, CBIZ's argument amounts to an assertion that the Complaint fails to include sufficient factual allegations such that the Court can reasonably infer that Altoona suffered actual harm—an essential element of both Count 1 and Count 2. See King v. Canon Hill Veterinary Clinic, Inc., No. 644 WDA 2015, 2016 WL 2647686, at *2 (Pa. Super. Ct. May, 10 2016) (quoting French v. Commonwealth Associates, Inc., 980 A.2d 623, 630-41 (Pa. Super. Ct. 2009)) (providing the elements for a claim of professional negligence under Pennsylvania law); Meyer, Darragh, Buckler, Bebenek & Eck, P.L.L.C. v. Law Firm of Malone Middleman, P.C., 137 A.3d 1247, 1258 (Pa. 2016) (citing J.F. Walker Co., Inc. v. Excalibur Oil Grp., Inc., 792 A.2d 1268, 1272 (Pa. Super. Ct. 2002)) (providing the elements of a breach of contract claim under Pennsylvania law).
The crux of this damages dispute is the applicability of the Restatement (Second) of Torts § 920 (Am. Law Inst. 1979) ("Section 920"). See Ellis v. Sherman, 515 A.2d 1327, 1329 (Pa. 1986) (recognizing this section as applicable in Pennsylvania tort actions); Gorski v. Smith, 812 A.2d 683, 709 (Pa. Super. Ct. 2002) (same). Unsurprisingly, CBIZ believes that Section 920 dictates that the Complaint has failed to allege damages, and Altoona believes that Section 920 does not apply.
In its entirety, Section 920 states:
Restatement (Second) of Torts § 920. The direct language of Section 920 requires that the "special benefit" be both conferred by the defendant and that the benefit directly relate to the harm caused by the defendant's tortious conduct. See id.; see also id. §920 cmt. d ("Under the rule stated in this Section to justify a diminution of damages the benefit must result from the tortious conduct."). Furthermore, Section 920's plain text requires that the Court consider the equity of reducing damages by a benefit. See Restatement (Second) of Torts § 920; id § 920 cmt. f.
While CBIZ argues that it benefited Altoona by creating the illusion of a rosier pension obligation, therein encouraging or inducing UPMC to acquire Altoona, CBIZ did not "confer[] a special benefit to the interest of the plaintiff that was harmed." Id. § 920. To the contrary, UPMC unwittingly conferred the benefit on Altoona—not CBIZ. CBIZ may have authored inaccurate reports on Altoona's pension obligations, but CBIZ's flawed calculations did not confer an offsetting benefit on Altoona. UPMC and its decision to fully assume Altoona's pension obligations conferred the benefit.
Although Pennsylvania case law is relatively scarce on Section 920, the Pennsylvania Superior Court has offered guidance in a case in which the appellants made a nearly identical argument to that made by CBIZ here. See Gorski, 812 A.2d at 709-10. And, as with the appellants' argument in Gorski, CBIZ's argument is unavailing. Id. In Gorski, Caesar Gorski and Saranne Gorski ("the Gorskis") brought an action against their attorney and his law firm ("the appellants") for negligence and breach of contract relating to the preparation and negotiation of a land sales agreement. See id. at 688-90. A jury found the appellants to have been negligent in representing the Gorskis in their negotiation of the land sales agreement and in the litigation that followed against the potential buyer. Id. at 690. On appeal, the appellants raised a number of arguments, including that the Gorskis suffered no actual harm. Id. at 708.
The Superior Court summarized the appellants' argument as follows:
Id. at 708-09. The Superior Court proceeded to identify Section 920 as the applicable articulation of the "benefit rule" and concluded that "this section does not apply when the tortious conduct of the defendant did not directly confer on the plaintiff a `special benefit.'" Id. at 709 (citing Restatement (Second) of Torts § 920 cmt. d; id. § 920, illus. 9).
In rejecting the appellants' argument under the "benefit rule," the Superior Court explained:
Id. at 709-10. Likewise, in the present case, CBIZ's alleged breach of contract and negligence did not directly confer any benefit on Altoona or its pension obligations. CBIZ's alleged miscalculations certainly did not reduce the pension liability or otherwise lessen that burden. Rather, much like the sewer authority's subsequent correction of the infiltration and capacity problem in Gorskis, see id., UPMC —not CBIZ — relieved the pension liabilities from Altoona and conferred the benefit. See Restatement (Second) of Torts § 920, illus. 8. Therefore, Section 920 does not eliminate the damages alleged by Altoona,
CBIZ cites numerous cases to support its proposition that the "benefit rule" should apply to nullify any harm Altoona suffered. (ECF No. 13 at 6-7.) However, these authorities are largely non-binding authority that do not apply Pennsylvania law and, unlike Gorski, are all inapposite. See LaSalle Talman Bank, F.S.B. v. United States, 317 F.3d 1363, 1371-72 (Fed. Cir. 2003) (applying federal law to allow mitigation of damages when a contract was breached in good faith by the defendant's adherence to a newly-passed federal statute and the plaintiff mitigated damages through a substitute transaction and emphasizing that this mitigation cannot be too remote and is "limited to profits directly due to the action in mitigation"); Fishman Org., Inc. v. Frick Transfer, Inc., 564 F. App'x 649, 651 (3d Cir. 2014) (disallowing credit for rent paid when the plaintiff used the rented space for which he paid the rent); S&K Sales Co. v. Nike, Inc., 816 F.2d 843, 852-53 (2d Cir. 1987) (applying New York law to allow mitigation for expenses of doing business to be deducted from lost profits and requiring that the benefit "have accrued to the plaintiff because of the breach"); Blum v. Witco Chem. Corp., 829 F.2d 367, 373 (3d Cir. 1987) (allowing the recovery of front pay while noting that, under the ADEA, a greatly increased salary from subsequent employment could offset loss of pension benefits); Fariss v. Lynchburg Foundry, 769 F.2d 958, 967-68 (4th Cir. 1985) (holding that, in an ADEA case, the plaintiff's claims for back wages and life insurance premiums were fully offset by a lump sum he received from his employer at termination); Brown v. Medtronic, Inc., 619 F.Supp.2d 646, 650 (D. Minn. 2009) (allowing mitigation in art ERISA case where the defendant's breach of fiduciary duty through an investment in artificially inflated stock actually resulted in a gain because the stock was sold by the plaintiff for a gain at the artificially inflated price); In re Boston Sci. Corp. ERISA Litig., 254 F.R.D. 24, 32 (D. Mass. 2008) (same).
Beyond failing to satisfy Section 920's requirement that the defendant must directly confer the offsetting benefit as part of the same conduct, CBIZ glosses over the final condition of the Restatement. Section 920 requires that the Court consider mitigation damages "to the extent that it is equitable." Gorski, 812 A.2d at 709 (quoting Restatement (Second) of Torts § 920). The Court will not make an equitable determination to eliminate well-pleaded damages alleged to be in excess of $142 million at the motion to dismiss stage.
CBIZ argues that the Restatement's reference to equity is intended only to limit the plaintiff's recovery and prevent windfall to the plaintiff—not to benefit the plaintiff. (ECF No. 32 at 3.) CBIZ finds some support in Comment f of Section 920, but chooses to quote, out of context, only those portions of the comment's text that support its view. Read in its entirety,
As discussed supra Part VI.A.1, CBIZ also argues that Altoona's allegations of damages regarding excise taxes, penalties, interest, and back premiums to the IRS and the PBGC (ECF No. 1 ¶¶ 57-59) are too speculative to make out a cognizable claim. (ECF No. 13 at 7.) CBIZ specifically observes that the Complaint states that these penalties "may" occur in the future. (ECF No. 46 at 2; ECF No. 1 ¶¶ 57-59.)
Under Pennsylvania law, "damages are considered speculative only if there is uncertainty concerning the existence of damages rather than the ability to precisely calculate the amount or value of damages." City of Philadelphia, Bd. of Pensions and Retirement v. Clayton, 987 A.2d 1255, 1262 (Pa. Commw. Ct. 2009) (quoting Pa. State Univ./PMA Ins. Grp. v. Workers' Comp. Appeal Bd. (Hensal), 911 A.2d 225, 233 (Pa. Commw. Ct. 2006)). The test of whether damages are remote or speculative "deals with the more basic question of whether there are identifiable damages." Wachovia Bank, N.A. v. Ferretti, 935 A.2d 565, 572 (Pa. Super. Ct. 2007) (citing Rizzo v. Haines, 555 A.2d 58, 68 (Pa. 1989)).
In the present case, while CBIZ may be correct that the Complaint's allegations as to the additional fines and penalties are not a picture of perfect clarity, they need not be. Altoona's allegations of additional fines and penalties need only possess sufficient factual content to allow the Court to draw the reasonable inference that the defendant is liable. See Iqbal, 556 U.S. at 679; Connelly, 809 F.3d at 786. These allegations accomplish this threshold requirement.
As Altoona explained in its Opposition to Defendants' Motion to Dismiss, "[t]he Complaint states that UPMC and Altoona `may' be required to make these payments as opposed to `will,' because the exact amount that UPMC and Altoona will be required to pay is pending action by the IRS and possibly also the PBGC." (ECF No. 29 at 4, n.5.) Although the level of clarity captured in this explanation would have been best served within the Complaint itself, this explanation nevertheless comports with the Court's interpretation of these allegations of additional fines and penalties when taking into account the context of these of allegations in the Complaint and the totality of the allegations of the Complaint. Each of the relevant paragraphs in the Complaint that discuss these damages regarding additional fines and penalties states that the damages "could exceed" a given number (ECF No. 1 ¶¶ 57-59), supporting an interpretation of the Complaint that its expressions of uncertainty relate to the amount, not whether the damages are identifiable. See Wachovia, 935 A.2d at 572 (citing Rizzo, 555 A.2d at 68). Therefore, the Complaint's allegations as to additional fines and penalties owed to the IRS and PBGC are not speculative and will not be dismissed at this stage.
In addition, CBIZ argues that, regardless of whether these potential future damages are speculative, UPMC also assumed "the anticipated regulatory burden (and the additional penalties, interest and back premiums)"; thus, once again, Altoona itself suffered no harm. (ECF No. 13 at 7.) This line of argument fails for the same reasons discussed above. See supra Part VI. A.1-4.
Thus far, the majority of the Court's discussion has focused on Section 920 and the "benefit rule" as defined by Section 920 of the Restatement (Second) of Torts. Yet, Count 2, which CBIZ has moved to dismiss on the same basis, is a claim for breach of contract. Because the identical standard applies under Pennsylvania law for both Count 1 and Count 2, the Court reaches the same result and rejects CBIZ's claim that the Complaint failed to allege damages.
In Gorski, the Gorskis brought a breach of contract and professional negligence claim. See Gorski, 812 A.2d at 709. Rather than performing two separate analyses, the Pennsylvania Superior Court proceeded through a single Section 920 analysis for both the breach of contract claim and the negligence claim. After completing this unified analysis, the Superior Court dismissed the appellants' request for mitigation as to both the breach of contract claim and the negligence claim on the basis that the misconduct did not directly confer any benefit on the property held by the Gorskis. Id. Here, the Court's negligence analysis above serves this same dual purpose to conclude that the Complaint sufficiently alleges damages for breach of contract and negligence.
In Count 1 of the Complaint, Altoona brings a professional negligence claim against CBIZ. CBIZ challenges this count by contending that, under Pennsylvania law, professional negligence actions can be maintained against only certain licensed professionals. (ECF No. 13 at 15.) CBIZ further suggests that this class of eligible defendants is limited to only those professions explicitly listed in Pennsylvania Rule of Civil Procedure No. 1042.1 ("Rule 1042.1"). From that premise, CBIZ's argument is simple: actuaries are not one of the thirteen professions listed in Rule 1042.1, and, thus, actuaries—like CBIZ—cannot be subject to professional negligence actions under Pennsylvania law.
While CBIZ has admittedly identified some non-binding authority to support this contention, many other authorities take the opposing view. Neither the parties' extensive briefs nor the Court's own research has identified case law from the Third Circuit or the Pennsylvania Supreme Court squarely addressing the effect of Rule 1042.1. Despite the lack of guidance from the Pennsylvania Supreme Court and lack of consensus in federal district courts in the Third Circuit, the Court finds the rationale articulated by those courts viewing Rule 1042.1 as a non-exhaustive list and a procedural rule to be more compelling. The Court interprets the language and context of Rule 1042.1 to provide a procedural mechanism for professional negligence claims brought against the thirteen professions listed therein—not a substantive bar to prevent the pursuit of claims against professions not included within the Rule—and concludes that case law from the Pennsylvania Superior Court prompts such a conclusion. Consequently, the Court will not dismiss Count 1 because the Court predicts that the Pennsylvania Supreme Court would permit a professional negligence claim to proceed against an actuary.
When interpreting state law, federal courts must follow the state's highest court. Ill. Nat'l Ins. Co. v. Wyndham Worldwide Operations, Inc., 653 F.3d 225, 231 (3d Cir. 2011). If that state's highest court has not provided guidance, federal courts must predict how that highest court would resolve the issue. Id. (citing Canal Ins. Co. v. Underwriters at Lloyd's London, 435 F.3d 431, 436 (3d Cir. 2006)). To do so, federal courts must take into consideration: (1) what that state's highest court has said in related areas, (2) the decisional law of the state intermediate courts, (3) federal cases interpreting state law, and (4) decisions from other jurisdictions that have discussed the issue. Id. (citing Werwinski v. Ford Motor Co., 286 F.3d 661, 675 (3d Cir. 2002)). "Although lower state court decisions are not controlling on an issue on which the highest court of the state has not spoken, federal courts must attribute significant weight to these decisions in the absence of any indication that the highest state court would rule otherwise." Id. (quoting Wisniewski v. Johns—Manville Corp., 759 F.2d 271, 273-74 (3d Cir. 1985)).
In following this four-step approach, the Court predicts that the Pennsylvania Supreme Court would hold that Rule 1042.1 does not preclude professional negligence claims against actuaries and would permit such a claim to proceed.
Beginning with state court decisions, the Pennsylvania Supreme Court has not decided whether Rule 1042.1 constitutes an exhaustive list of those professions for which a professional negligence cause of action is available. However, at least two Pennsylvania Supreme Court decisions, two Pennsylvania Superior Court decisions, and two Pennsylvania Court of Common Pleas decisions point toward the conclusion that Rule 1042.1 does not substantively restrict professional negligence claims to those thirteen professions listed within the Rule.
In regard to the two aforementioned Pennsylvania Supreme Court decisions, both of these cases relate to the procedural nature of Rule 1042.1. See Bruno v. Erie Ins. Co., 106 A.3d 48 (Pa. 2014); Womer v. Hilliker, 908 A.2d 269 (Pa. 2006). These cases and the procedural nature of Rule 1042.1 will be discussed infra Part VI.B.3.iii.
In regard to intermediate appellate court decisions, the Pennsylvania Superior Court has allowed professional negligence claims to proceed against insurance agents in at least two cases. See Pressley v. Travelers Property Cas. Corp., 817 A.2d 1131, 1138 (Pa. Super. Ct. 2003); Wisniski v. Brown & Brown Ins. Co. of Pa., 852 A.2d 1206, 1212 (Pa. Super. Ct. 2004), vacated and remanded on other grounds, 887 A.2d 1238, 1238 (Pa. 2005). Insurance agents are not enumerated on the thirteen-profession list in Rule 1042.1. See Pa. R. Civ. P. No. 1042.1. Thus, these two decisions suggest that at least two panels of the Pennsylvania Superior Court do not view Rule 1042.1 as an exhaustive and substantive rule.
However, the strength of this inference may be somewhat weakened because neither Pressley nor Wisniski mention Rule 1042.1, and the Rule is not expressly considered in either opinion. See Pressley, 817 A.2d at 1138; Wisniski, 852 A.2d at 1212. Instead, the Pressley court cites to the Restatement (Second) of Torts § 299A (Am. Law. Inst. 1965) and, with little discussion, concludes that the defendant is subject to a professional negligence action with the appropriate professional standard of care because he is a "licensed insurance agent." Pressley, 817 A.2d at 1138. While the discussion is brief, the insurance agent's licensure appears to be key to the Superior Court's decision. Id. The Presley court also noted that consumers look at insurance agents as possessing expertise in a complicated area and reasonably rely on the representations of insurance agents as experts. Id. at 1140. Likewise, the Wisniski court allowed a professional negligence claim to proceed against an insurance agent. Wisniski, 852 A.2d at 1212. Wisniski simply cites to Pressley and provides no other analysis. Id. Therefore, while the weight of these two cases is reduced due to their silence on Rule 1042.1, both cases permitted a professional negligence claim against an "unlisted" profession to proceed without any indication that such a claim is problematic, disfavored, or disallowed.
Lastly, in regard to Pennsylvania county courts, the Lackawanna County Court of Common Pleas—applying Pressley, Wisnicki, and the Restatement—allowed a claim to proceed against an insurance agency and applied a professional standard of care. See Ratchford v. Florey Ins. Co., No. 00-CIV-2121, 2005 WL 3106478, at *9 (Pa. Ct. Com. Pls. Mar. 8, 2005). The Allegheny County Court of Common Pleas—pre-Pressley and pre-Wisniski—faced the issue of whether a professional negligence claim is cognizable against a computer consultant. See Rapidigm, Inc. v. ATM Mgmt. Servs., LLC, 63 Pa. D. & C. 4th 234, 241-42 (Pa. Ct. Com. Pls. 2003). The Rapidigm court wrote:
Id. (footnote omitted). While the court cited to Rule 1042.1, it did not consider whether the Rule constitutes an exhaustive list. Id. at 241 n.4. Instead, the Court looked to Restatement (Second) of Torts § 299A and concluded that computer consultants, at least in 2003, could not be subject to professional negligence claims because lc] ontract law provides sufficient protection to customers/clients of service provides whose services are capable of being evaluated through the guarantee of a defined outcome. Id. at 244. In reaching this decision, the Ratchford court cited a number of decisions from other jurisdictions that looked to the Restatement for guidance and, because these cases were not applying Pennsylvania law, did not consider Pennsylvania Rule of Civil Procedure Rule 1042.1.
In sum, to the extent that Pennsylvania state decisions provide guidance, they suggest that the Rule 1042.1 list cannot truly be exclusive because claims can be brought against the "unlisted" profession of insurance agents and that the Restatement provides guidance as to those areas that constitute a "profession."
CBIZ's briefs and the Court's independent research have unearthed at least five federal district court opinions from the Third Circuit which hold that Rule 1042.1 is an exhaustive and exclusive list that precludes professional negligence claims against all professions not listed therein.
First, the Eastern District of Pennsylvania granted a motion to dismiss in regard to a professional negligence action brought against providers of estate, asset, and tax planning advice. Gilmour v. Bohmueller, No. Civ. A. 04-2535, 2005 WL 241181, at *16 (E.D. Pa. Jan. 27, 2005). Without any explanation or discussion, the Gilmour court concluded that Rule 1042.1 "can be maintained only against persons licensed in Pennsylvania or another state" who fall into one of the thirteen categories of Rule 1042.1. Id. The court's only citation for this proposition is Rule 1042.1 itself. Id. Because the plaintiff's complaint did not allege that the defendants were one of these thirteen licensed professionals, the court dismissed the professional negligence claim. Id.
Second, the Eastern District of Pennsylvania denied a motion to dismiss a professional negligence claim against attorneys. In re Am. Inv'rs Life Ins. Co. Annuity Mktg. & Sales Practices Litig., MDL Docket No. 1712, 2007 WL 2541216, at *32 (E.D. Pa. Aug. 29, 2007). In American Investors, whether the defendant attorneys were within the scope of Rule 1042.1 was not at issue because "attorney at law" is one of the thirteen listed professions in Rule 1042.1. Id. The issue before the court was whether the attorneys were within a professional relationship with the clients such that a professional negligence claim was viable. Id. However, as part of this discussion, the American Investors court states, in passing, that professional negligence claims can be brought against only the thirteen professions listed in Rule 1042.1. Id. As in Gilmour, the court cites only to Rule 1042.1 and provides no reasoning or analysis for this conclusion.
Third, the Western District of Pennsylvania held that a real estate property manager cannot be subject to a professional negligence claim under Pennsylvania law because that profession is not included within Rule 1042.1. Greenwood Land Co. v. Omnicare, Inc., Civil Action No. 09-686, 2011 WL 33027, at *4 (W.D. Pa. Jan. 5, 2011). As with Gilmour and American Investors, the Greenwood court does not acknowledge the Pennsylvania Superior Court's decisions in Pressley or Wisiski, consider that Rule 1042.1 may be a procedural rule, or perform any analysis except to conclude that real estate property managers are not on the Rule 1042.1 list. See id. Unlike the prior federal cases, Greenwood does cite to the Allegheny County Court of Common Plea's 2003 decision in Rapidigm. Id. The Greenwood court references footnote 4 of Rapidigm—which appears to be the only authority to support the Greenwood court's decision other than citations to Rule 1042.1 itself. The Greenwood court quotes Rapidigm: "`The Rules of Civil Procedure governing professional liability actions are applicable to attorneys and other persons who are licensed pursuant to an Act of Assembly. Pa R. Civ. P. 1042.1." Id. (quoting Rapidigm, 63 Pa. D. & C.4th at 242 n.4). From this quotation, the Greenwood court concludes that professional negligence claims can be brought against only the thirteen enumerated professions. Id. However, this Court determines that this quotation from Rapidigm conveys a much more modest proposition; this quotation simply states that the portions of the Pennsylvania Rules of Civil Procedure governing professional liability are applicable to those thirteen professions. Rapidigm does not assert that professional negligence claims may be brought only against the listed professions; it explains that certain procedural rules that follow Rule 1042.1 apply only to negligence claims brought against those thirteen professions. See Rapidigm, 63 Pa. D. & C.4th at 242.
Fourth, the Eastern District of Pennsylvania twice-dismissed a professional negligence claim against an insurance broker. See Hirsch v. Schiff Benefits Grp., LLC, Civil Action No. 10-2574, 2011 WL 1166127, at *4 (E.D. Pa. Mar. 28, 2011) (dismissing the professional negligence claim in the original complaint); Hirsch v. Schiff Benefits Grp., LLC, Civil Action No. 10-2574, 2011 WL 2471535, at *4 (E.D. Pa. June 21, 2011) (dismissing the virtually identical claim in the amended complaint). The Hirsch court simply cited to Gilmour and Greenwood without performing any independent analysis, see Hirsch, 2011 WL 1166127, at *4, and stated that Rule 1042.1 "set[s] forth an exhaustive list of licensed professionals" against whom a plaintiff may bring a negligence action, Hirsch, 2011 WL 2471535, at *4.
Finally, the Middle District of Pennsylvania dismissed a professional negligence claim against correctional officers. See Hatten v. Bledsoe, Civil Action No. 1:13-CV-00209, 2014 WL 5473571, at *8 (M.D. Pa. Aug. 4, 2014). The Hatten court cited only American Investors and provided no other explanation or analysis for why Rule 1042.1 acts as a substantive bar to professional negligence claims against all professions not include therein.
In sum, none of these cases provided compelling rationale for their stance on Rule 1042.1 such that they persuade the Court to deviate from its own interpretation of the rule, the weight of the state cases cited supra and infra, and the reasoning of the federal decisions taking the opposing view discussed next.
A number of decisions by federal district courts within the Third Circuit have permitted professional negligence claims to proceed against professions not included within the Rule 1042.1 list. Looking first to decisions by the Eastern District of Pennsylvania, the Court has identified at least three relevant cases.
First, in granting a motion to remand in a case involving a professional negligence claim against an insurance company, the Eastern District of Pennsylvania, in dicta, observed that Pennsylvania courts have allowed professional negligence claims against insurance agents and applied Restatement (Second) of Torts §299A in such cases. See PNC Bank v. AmerUs Life Ins. Co., No. Civ. A. 04-5015, 2005 WL 226075, at *1 (Pa. E.D. Jan. 31, 2005) (citing Pressley, 817 A.2d at 1138; Wisniski, 852 A.2d at 1212).
Second, in partially denying the defendant's motion for summary judgment, the Eastern District of Pennsylvania permitted two counts of professional negligence to proceed against an actuary and his employer. See I.B.E.W. Local Union 380 Pension Fund v. Buck Consultants, Civil Action No. 03-4932, 2008 WL 269476, at *6 (E.D. Pa. Jan. 30, 2008). The opinion repeatedly labels the defendants as actuaries and never indicates that the defendants are accountants or any of the other thirteen professions listed in Rule 1042.1. Id. Despite these striking similarities to the present case, the persuasive value of I.B.E.W. is somewhat diminished because the defendants evidently did not raise and the court did not consider or even reference Rule 1042.1 or whether an actuary could be subject to a professional negligence claim under Pennsylvania law. The basic viability of a professional negligence claim against an actuary is not challenged. Instead, the issue considered in I.B.E.W. is whether the actuaries breached their professional standard of care and proximately caused the harm. Id.
Third, in a more recent decision, the Eastern District of Pennsylvania provided a lengthier, but still relatively brief, analysis as to the professions subject to professional negligence claims under Pennsylvania law. See Chetty Holdings, Inc. v. NorthMarq Capital, LLC, No. Civ. A. 11-4640, 2013 WL 1721733, at *7 (E.D. Pa. Apr. 22, 2013), aff'd, 556 F. App'x 118 (3d Cir. 2014). In deciding whether a complaint alleged sufficient facts to show that the defendants—providers of commercial real estate financing and brokerage services—owed a duty to the plaintiffs for the purposes of a negligence claim, the court wrote:
Id. (footnote omitted). Thus, based on Swantek and the Restatement, the Eastern District of Pennsylvania denied defendants' motion for summary judgment as to the professional negligence claims against the mortgage brokers because of their licensure under state law. The court did not refer to Rule 1042.1 or any decisions other than Swantek in making this determination.
Beyond these relatively brief discussions of the issue in opinions by the Eastern District of Pennsylvania, one opinion authored by Judge Mannion of the Middle District of Pennsylvania and one opinion authored by Judge Cohill of the Western District of Pennsylvania provide considerably more extensive analysis. See Hults v. Allstate Septic System, LLP, Civil Action No. 4:06-0541, 2007 WL 2253509, at *6 (M.D. Pa. Aug. 3, 2007); Sherman v. John Brown Ins. Agency, Inc., 38 F.Supp.3d 658, 664 (W.D. Pa. 2014). The Court finds the analysis and rationale articulated by these two opinions to be particularly thorough and persuasive as to the effect of Rule 1042.1.
In Hults, the defendant —a limited liability partnership that designed, inspected, installed, and repaired septic systems —moved for summary judgment with respect to, among other claims, a professional negligence claim. Hults, 2007 WL 2253509, at *1-*3. The defendant argued that it cannot be subject to a professional negligence claim because it is "an unlicensed service provider" that does not fall within the "traditionally recognized and specifically enumerated licensed professionals" of Rule 1042.1. Id. at *6. Judge Mannion did not agree with the defendant's assessment. Id.
For the purposes of the present case, the Hults court made two key observations. First, the court looked at the actual text of Rule 1042.1 and concluded:
Id. Second, the Hults court reviewed Section 299A of the Restatement (Second) of Torts and noted:
Id. The Court agrees with these conclusions and the accompanying analysis by the Hults court.
In Sherman, a building contractor filed, among other claims, a professional negligence claim against insurance agencies and their employees. Sherman, 38 F. Supp. 3d at 660. The defendants moved to dismiss on the exact same theory raised by CBIZ in the present case. Namely, the defendants asserted that Rule 1042.1 is an exclusive list of enumerated professionals against whom professional liability actions may be initiated and, because insurance agencies and brokers are not on the list, the plaintiff's claim is not cognizable. Id. at 663.
Judge Cohill, citing Pressley and Rapidigm, concluded that Rule 1042.1 "only imposes the requirement of obtaining a certificate of merit when bringing a professional liability claim against one of the professional listed under the rule" and does not speak to a plaintiff's ability to bring a professional negligence claim in accordance with Restatement (Second) of Torts §299A. Id. Judge Cohill denied the defendant's motion to dismiss and directly stated, "Mnsurance brokers or agents not being listed under Rule 1042 is not dispositive of Plaintiff's ability to bring a professional negligence claim against Defendants." Id. The Court agrees with Sherman's reasoning and conclusion.
Hults and Sherman, unlike all of the contrary decisions, persuasively conclude that Rule 1042.1 is a procedural rule that requires certain procedures to be followed when filing a professional negligence claim against the listed profession. See Hults, 2007 WL 2253509, at *6; Sherman, 38 F. Supp. 3d at 663. As discussed supra, the Court agrees with this conclusion and the accompanying rationale, but the Court also offers a few additional reasons beyond those offered by Hults and Sherman to show that Rule 1042.1 does not substantively bar claims by those professions not included with its thirteen-profession list.
First, the language and context of Rule 1042.1 prompts this conclusion. Rule 1042.1, appropriately entitled "Professional Liability Actions. Scope. Definition," defines terms and establishes the scope of the chapter's rules regarding professional liability claims. Pa. R. Civ. P. No. 1042.1(a). The list of thirteen professions within Rule 1024.1 is a basic scope and definition provision; it details those professions to which the remaining rules in the chapter apply. See Pa. R. Civ. P. No. 1042.1(c) ("As used in this chapter, `licensed professional' means . . ."). Nothing in the text of the Rule states that it is an exhaustive list, nor does the Rule indicate or imply that it acts as a substantive bar to professional negligence claims for "unlisted" professions. Moreover, the provisions within the Pennsylvania Rules of Civil Procedure that follow Rule 1042.1 and use the definitions provided therein are unmistakably procedural requirements. See Pa. R. Civ. P. No. 1042.2 (requiring that complaints identify each defendant in a professional liability claim and providing a suggested template for complaints); Pa. R. Civ. P. No. 1042.3 (requiring that a certificate of merit be filed within 60 days of the filing of the complaint); Pa. R. Civ. P. No. 1042.4 (requiring that responsive pleadings be filed according to Rule 1026 or within 20 days after service of the certificate of merit, whichever is later); Pa. R. Civ. P. No. 1042.5 (stating that discovery cannot be sought prior to the filing of the certificate of merit without leave of court); Pa. R. Civ. P. No. 1042.6-1042.7 (providing non pros procedures in the event that a certificate of merit is not filed); Pa. R. Civ. P. No. 1042.8 (allowing for 20 days to file a corrected certificate of merit in the event of noncompliance); Pa. R. Civ. P. No. 1042.9 (providing for sanctions for noncompliance); Pa. R. Civ. P. No. 1042.10-1042.12 (providing suggested forms for the certificate of merit, non pros filings, and non pros judgments). All of these provisions to which the definitions established in Rule 1042.1 apply are clearly procedural in nature.
Furthermore, the Court also recognizes the broader context of Rule 1042.1 as a rule within the Pennsylvania Rules of Civil Procedure. While such a label is not determinative, the Court considers this context to be a relevant consideration. This categorization is particularly relevant because, contrary to CBIZ's claim,
Second, a recent decision by the Pennsylvania Supreme Court strongly prompts the Court's conclusion as to Rule 1042.1. In Bruno v. Erie Insurance Company, the plaintiffs filed a professional negligence claim against engineers hired by Erie Insurance Company for allegedly representing that mold in the plaintiffs' home was harmless.
While this specific holding is of little importance to the present case, Bruno offers important guidance on Rule 1042.1 through its result and discussion. As an initial matter, the language of Bruno makes it clear that the Pennsylvania Supreme Court views Rule 1042.1 as a procedural rule, not a rule with substantive force to bar claims. See id.
More importantly, the Bruno court established that professional negligence claims can proceed even if they fall outside of the scope of Rule 1042.1. Rule 1042.1 begins by stating: "The rules of this chapter govern a civil action in which a professional liability claim is asserted by or on behalf of a patient or client of the licensed professional against." Pa. R. Civ. P. No. 1042.1(a) (footnote omitted). The claim in Bruno fell outside of the scope of this provision because the plaintiffs were not, as required by Rule 1042.1(a), patients or clients of the engineer. See Bruno, 106 A.2d at 70-71. Nevertheless, the Pennsylvania Supreme Court allowed the claim to proceed. Id. This suggests that, under Pennsylvania law, professional negligence claims that fall outside the scope of Rule 1042.1 — such as professional negligence claims brought by non-patients/non-clients or against "unlisted" professions — are not barred simply because they do not fit within the scope of these procedural rules.
Now that the Court has established that Rule 1042.1 is not a preclusive list, the Court must assess whether actuaries are professionals subject to professional negligence claims under the operative common law. All of the cases cited supra that went beyond Rule 1042.1 looked to Restatement (Second) of Torts § 299A (Am. Law. Inst. 1965) ("Section 299A") for guidance as to those jobs that constitute a "profession" for the purposes of professional liability claims. See, e.g., Pressley, 817 A.2d at 1138; Wisniski, 852 A.2d at 1212; Sherman, 38 F. Supp. 3d at 664-65; Huns, 2007 WL 2253509, at *6. The Court will do likewise and concludes that an actuary, including CBIZ, constitutes a professional for the purposes of a professional negligence claim.
Section 299A reads:
Id. § 299A cmt. b.
Clearly, an actuary falls within the scope of this rule due to the specialized skill, education, and certification/licensure of the profession. The Complaint unequivocally alleges the complexity and expertise required to be an actuary; the specialized skill, education, and certification possessed by Ketzner; and the existence of professional standards of competence and care within the actuarial profession. (ECF No.1 ¶ 7) (stating that Ketzner is an Enrolled Actuary, a Member of the American Academy of Actuaries, a Fellow of the Conference of Consulting Actuaries, and a Member of the American Society of Pension Professional and Actuaries' College of Pension Actuaries who is bound to follow and uphold actuarial standards of professional conduct and competence). The U.S. Supreme Court, albeit in a substantially different context, has discussed the expertise required to be an actuary and the difficulty and importance of their calculations. Concrete Pipe & Prods. of Cal., Inc. v. Constr. Laborers Pension Trust for S. Cal., 508 U.S. 602, 632 (1993). The U.S. Supreme Court went so far as to directly state that "actuaries are trained professionals subject to regulatory standards." Id. (citing 29 U.S.C. §§ 1241, 1242; 26 U.S.C. § 7701(a) (35)).
Even in the five federal cases discussed supra Part VI.B.3.ii.a that viewed Rule 1042.1 as an exhaustive list with substantive effect, the professions in all but one of these cases varied significantly from an actuary. See Gilmour, 2005 WL 241181, at *16 (claim against provider of asset advice was dismissed); Am. Inv'rs, 2007 WL 2541216, at *32 (claim against attorney was not dismissed); Greenwood, 2011 WL 33027, at *4 (claim against real estate property manager was dismissed); Hatten, 2014 WL 5473571, at *8 (claim against correctional officer was dismissed). Hirsch dismissed a professional liability claim against an insurance broker —the only one of these five federal cases to dismiss a claim against a defendant with some form of licensure. See Hirsch, 2011 WL 1166127, at *4. However, the Court finds it significant that, in contrast, the Pennsylvania Superior Court has twice allowed professional liability claims to proceed against insurance agents, see Pressley, 817 A.2d at 1138; Wisniski, 852 A.2d at 1212, and the Sherman court allowed a professional negligence claim to proceed against an insurance broker, Sherman, 38 F. Supp. 3d at 664-65.
From a functional approach, actuarial services and auditing services performed by accountants have been held to be professional services subject to professional negligence claims. See Koken v. Steinberg, 825 A.2d 723, 725 (Pa. 2003) (allowing a professional negligence claim against an accounting firm that was performing actuarial and auditing services to proceed);
Looking at the theory underlying professional negligence actions, the Rapidigm court concluded:
Rapidigm, 63 Pa. D. & C.4th at 243. Applying this "contractual sufficiency" approach, the Court views contract law as insufficient protection for those relying on the services of actuaries. Reviewing the many cases from other jurisdictions cited by Rapidigm, see id. at 244-47, the Court notes that the level of formal training, expertise, trust, and professional standards of conduct of actuaries aligns very closely with that of accountants and other such professions.
In regard to the Rapidigm court's view that "[c]ontract law provides sufficient protection to customers/clients of service providers whose services are capable of being evaluated through the guarantee of a defined outcome," id., the Court generally agrees. However, this "outcomeguarantee" approach should not be overstated. The "outcome" of a professional's services is certainly evidence of whether that professional adhered to professional standards. For example, a fatality following a routine surgery or a dismissal with prejudice of a meritorious cause of action would be relevant evidence of a surgeon or an attorney's negligence or demonstrate the harm suffered by the plaintiff. The "outcome" of an inaccurate accounting, audit, tax calculation, or financial plan performed by a certified public accountant would be evidence of whether that accountant adhered to professional standards because such a flawed "outcome" would generally be unexpected if professional norms were followed. The evidentiary value of a "bad" outcome does not mean that a professional negligence claim against an actuary is "capable of being evaluated through the guarantee of a defined outcome." See id.
No decisions located by the parties or the Court have questioned whether accountants are "professionals" subject to professional negligence claims. The Court does not believe that contract law adequately protects those who use the services of actuaries any more than it does for the clients of accountants. Likewise, the Court does not believe that actuarial services are "capable of being evaluated through the guarantee of a defined outcome," id., any more than the services of accountants, doctors, or attorneys. Just like accountants and members of other professions, actuaries must adhere to professional standards by exercising the skill and knowledge normally possessed by members of a profession in performing their services. The key is not whether certain outcomes or goals were achieved, but whether the actuary complied with the professional standard of care and caused harm because of the failure to do so.
In sum, under Section 299A and the most germane case law, the Court finds that actuaries are "professionals" for the purpose of a professional negligence action under Pennsylvania law. Because the Complaint sufficiently alleges that Ketzner is an actuary who negligently performed work within the scope of that profession, the Court denies CBIZ's motion to dismiss Count 1 of the Complaint.
CBIZ argues that UPMC's claim of negligent misrepresentation in Count 3 should be dismissed under the economic loss doctrine. (ECF No. 13 at 9.)
The economic loss doctrine "provides that no cause of action exists for negligence that results solely in economic damages unaccompanied by physical or property damage." Brand Mktg. Grp. LLC v. Intertek Testing Servs., 801 F.3d 347, 354 (3d Cir. 2015) (quoting Adams v. Copper Beach Townhome Cmtys., L.P., 816 A.2d 301, 305 (Pa. Super. Ct. 2003)). Notwithstanding this general rule, the Pennsylvania Supreme Court has recognized an exception specifically for negligent misrepresentation claims. See Bilt-Rite Contractors, Inc. v. Architectural Studio, 866 A.2d 270 (Pa. 2005). In Bilt-Rite, the court expressly adopted the Restatement (Second) of Torts § 552 (Am. Law. Inst. 1977) ("Section 552"). Bilt-Rite, 866 A.2d at 287. Section 552 provides:
Restatement (Second) of Torts § 552.
CBIZ acknowledges this Bilt-Rite exception to the economic loss doctrine, but asserts that UPMC has failed to satisfy any of the elements to this "narrowly restricted" exception. (ECF No. 13 at 9.) In particular, CBIZ believes that UPMC has failed to allege that CBIZ owed a duty to UPMC and that CBIZ failed to allege justifiable reliance. The Court, however, disagrees because the Complaint adequately alleges facts to satisfy all of the elements necessary to sustain a negligent misrepresentation claim falling under the exception to the economic loss doctrine.
UPMC —not Altoona— asserts Count 3 against CBIZ. Therefore, because the Complaint does not allege that UPMC was in privity with CBIZ at the time of the alleged negligent misrepresentation, CBIZ argues that UPMC is a third party to which CBIZ did not owe a duty, as required by Section 552. (ECF No. 13 at 10.)
The parties do not disagree that CBIZ must owe a duty to UPMC in order for UPMC to succeed on a negligent misrepresentation claim. However, the parties' briefs extensively disagree as to what is required to establish a duty and whether the Complaint's allegations meet the relevant standard. (ECF No. 13 at 10-16; ECF No. 29 at 16-18; ECF No. 32 at 4-10; ECF No. 45 at 2-4; ECF No. 46 at 1-4.) To summarize the parties' lengthy arguments on this matter, CBIZ interprets Bilt-Rite and Section 552 to require that a complaint allege that a professional-defendant had "actual knowledge'/"manifest awareness" of reliance by the third-party plaintiff on the information provided by the professional-defendant. (ECF No. 13 at 10-16; ECF No. 32 at 4-10; ECF No. 46 at 1-4.) UPMC, on the other hand, argues that a lesser standard applies under which "liability is imposed under § 552(2) upon an information supplier like CBIZ to anyone in a foreseeable class of persons, whose reliance upon the information supplied is also foreseeable." (ECF No. 29 at 14.) The proper standard lies somewhere in between these two interpretations, albeit likely closer to CBIZ's formulation.
The appropriate standard is addressed by Section 552(2) and Comment h to Section 552. See Bilt-Rite, 866 A.2d at 275 (quoting Comment h). Section 552(2)(a) makes it clear that a plaintiff in a negligent misrepresentation case must be a "person or one of a limited group of persons for whose benefit and guidance [the defendant] intends to supply the information or knows that the recipient intends to supply it." Restatement (Second) of Torts § 552(2)(a). The Complaint's allegations satisfy this requirement.
On this point, the Complaint alleges that:
CBIZ disputes that these are sufficient allegations by arguing that they are mere conclusory allegations and points out that the Complaint, dealing in nothing more than rumors, refers to the "word on the street" being that Altoona was interested in being acquired and would be "doing something with somebody."
At the motion-to-dismiss stage, the Court must accept all factual allegations in the Complaint and draw all inferences from the alleged facts in the light most favorable to the non-moving party. Phillips v. County of Allegheny, 515 F.3d 224, 228 (3d Cir. 2008) (citing Worldcom, Inc. v. Graphnet, Inc., 343 F.3d 651, 653 (3d Cir. 2003)). Here, although the Complaint may reference "word on the street" and might theoretically fail under some higher standard of pleading, the Complaint nevertheless presents sufficient factual content for the Court to draw the reasonable inference that UPMC was a "person or one of a limited group of persons for whose benefit and guidance [the defendant] intends to supply the information or knows that the recipient intends to supply it." Restatement (Second) of Torts § 552(2)(a).
Comment h to Section 552 further confirms this conclusion. Comment h discusses this issue at great length.
The heart of the parties' dispute, at least in their early briefs, is whether Pennsylvania law uses an "actual knowledge" standard or "reasonable foreseeability" standard to gauge the existence of duty for the purposes of a third-party negligent misrepresentation claim. Supporting UPMC's reasonable foreseeability argument to some extent, the Pennsylvania Supreme Court once-summarized, without correction, a lower court's discussion of Bilt-Rite by writing that the Bilt-Rite court "recognized that [a professional] may be found professionally liable to third parties when it is foreseeable that the information [the professional] provide[s] to a client will be used and relied on by the third party." Bruno, 106 A.3d at 55 (citing Bilt-Rite, 866 A.2d at 286). If taken as a pronouncement of applicable law going forward, rather than passing dictum summarizing a lower court's soon-to-be-reversed opinion, this remark by the Bruno court would likely be an articulation of a lower and broader standard than that given by Section 552 and by Bilt-Rite itself.
Even if the Court fully endorsed CBIZ's "actual knowledge" standard, the Complaint's allegations are sufficient under this higher standard because the Complaint alleges that CBIZ was aware that Altoona sought an acquisition partner, like UPMC, and that UPMC or an equivalent entity would and did rely on CBIZ's reports. (ECF No. TT 28, 37, 50.) The Complaint's articulation of CBIZ's knowledge is not perfect, but it is sufficient under federal pleading standards. Additionally, at least based on the potential implication of Bruno, the Pennsylvania Supreme Court may view its own pronouncements in Bilt-Rite to mean "that [a professional] may be found professionally liable to third parties when it is foreseeable that the information [the professional] provide[s] to a client will be used and relied on by the third party." Bruno, 106 A.3d at 55 (citing Bilt-Rite, 866 A.2d at 286). The Complaint's allegations also satisfy this lower standard.
Regardless of potential ambiguity in the exact parameters and outer limits of Bilt-Rite and Section 552, a comparison of the allegations made in the complaint in Bilt-Rite—which the Pennsylvania Supreme Court held to be sufficient —to the allegations of UPMC's Complaint in the present case leaves little doubt as to whether the Complaint satisfies Pennsylvania's substantive law regarding the duty required for a negligent misrepresentation claim. In the second-to-last paragraph of Bilt-Rite, the Pennsylvania Supreme Court wrote:
Bilt-Rite, 866 A.2d at 288. Likewise, accepting the allegations of UPMC's Complaint as true for the purposes CBIZ's Motion to Dismiss, CBIZ provided its valuations and reports on the pension plans to Altoona with knowledge that UPMC or a similarly positioned entity would be provided with its valuations and reports and rely upon them in the acquisition process.
CBIZ next argues that a negligent misrepresentation claim requires "justifiable reliance" and that UPMC has failed to allege that it was reasonable for UPMC to rely on CBIZ's report for the purposes of acquiring Altoona. (ECF No. 13 at 16.) In support of this argument, CBIZ contends that a so-called "disclaimer" on its report made it unreasonable for UPMC to rely on its report and that the Complaint failed to allege "specific facts demonstrating that [UPMC] exercised the due diligence that a reasonable person under all the circumstances would have exercised to protects [its] interests." (ECF No. 13 at 18.)
The Court agrees that Pennsylvania law requires that UPMC allege that it acted in justifiable reliance upon CBIZ's misrepresentation. See Bilt-Rite, 866 A.2d 270, 273 n.1; Bortz v. Noon, 729 A.2d 555, 561 (Pa. 1999); Luther v. Kia Motors America, Inc., 676 F.Supp.2d 408, 418-19 (W.D. Pa. 2009). The Court also agrees that, to be "justifiable," reliance upon the representation of another must be reasonable. See Porreco v. Porreco, 811 A.2d 566, 570 (Pa. 2002) (citing In re Allegheny Int'l, Inc., 954 F.2d 167, 178 (3d Cir. 1992)). However, the Court disagrees with CBIZ's claim that the Complaint's allegations fail to meet this standard for justifiable reliance.
The Complaint clearly alleges that UPMC relied on CBIZ's report— a report that CBIZ certified as a full and fair disclosure of the pension plans' actuarial position that was prepared using reasonable methods and assumptions. (ECF No. ¶¶ 27, 28, 50.) The Complaint also clearly alleges the extensive credentials of Ketzner, that Ketzner had performed actuarial services on Altoona's pension plans for at least 13 years, and that CBIZ represented itself as experienced, qualified, and capable of providing the requested actuarial services and valuations. (Id. ¶¶ 7, 22, 24.) With these allegations, the Complaint easily and directly establishes that UPMC relied on the accuracy of the report in its acquisition of Altoona and that such reliance was reasonable because of CBIZ and Ketzner's expertise, experience, and assurances to Altoona.
Additionally, in deciding whether reliance on an alleged misrepresentation is justified, the Pennsylvania Supreme Court puts particular weight on whether the recipient knew or should have known that information supplied was false. Porreco, 811 A.2d at 570 (citing Scaife Co. v. Rockwell-Standard Corp., 285 A.2d 451 (Pa. 1971)). The Complaint specifically addresses this consideration, alleging that CBIZ did not disclose Ketzner's underlying mistaken assumptions until March 2015 and that "[n]either Altoona nor UPMC could have discovered the errors because those errors were the result of erroneous assumptions and methodologies undisclosed in the GAAP and Funding Reports prepared by Defendants." (ECF No. 1 ¶¶ 31-32.) These allegations demonstrate that UPMC neither knew nor should have known that CBIZ's reports were inaccurate.
In essence, the Complaints alleges that UPMC relied on reports authored by an experienced and well-credentialed actuary who had worked for Altoona, seemingly without issue, for at least 13 years and who was employed by a large professional services corporation with numerous subsidiaries—all of which represented themselves as experienced, qualified, and capable in the actuarial valuation of pension benefit plans and neither of which gave any indication that the reports were inaccurate, untrustworthy, or based on mistaken underlying assumptions. (See ECF No. 1 ¶¶ 4-5, 7, 10, 22, 24, 27-28, 50.) Despite CBIZ, perhaps somewhat surprisingly, arguing that it was unjustifiable and unreasonable as a matter of law for UPMC to rely on CBIZ's own work product, the Court easily holds that the Complaint adequately alleges that UPMC relied on the report and that such reliance was justifiable and reasonable.
In an effort to detract from the reasonableness of UPMC's reliance on CBIZ's report, CBIZ attempts to construe a purported notation on the first page of the report that "CBIZ had prepared the Report `for the purposes of fulfilling the employer [Altoona] financial accounting requirements' as a disclaimer. (ECF 13 at 17.) CBIZ argues that, under the Restatement and assorted case law, this notation qualifies as a disclaimer, making it unreasonable as a matter of law to rely on the report for anything other than the report's specifically stated purpose. (Id.) CBIZ seeks to narrow the reasonable application of its report such that "[a]ny reliance by UPMC as a non-employer third party in a single year for its own different purpose was at its own risk." (Id. at 18.)
As a threshold issue, the Court must determine whether it can properly consider this "disclaimer" at all. The "disclaimer" statement is not included with or attached to the Complaint. Instead, CBIZ first referenced the "disclaimer" in its Brief in Support of Motion to Dismiss (ECF No. 13 at 13-16) and, then, included what CBIZ purports to be this "disclaimer" as an attachment to its brief (ECF No. 13-1 at 3). As a general matter, a district court ruling on a motion to dismiss may not consider matters extraneous to the pleadings. In re Burlington Coat Factory Securities Litigation, 114 F.3d 1410, 1426 (3d Cir. 1997) (citing Angelastro v. Prudential-Bache Securities, Inc., 764 F.2d 939, 944 (3d Cir. 1985)). "However, an exception to the general rule is that a `document integral to or explicitly relied upon in the complaint' may be considered `without converting the motion to dismiss into one for summary judgment.'" Schmidt v. Skolas, 770 F.3d 241, 249 (3d Cir. 2014) (quoting Burlington, 114 F.3d at 1426). "The rationale underlying this exception is that the primary problem raised by looking to documents outside the complaint—lack of notice to the plaintiff —is dissipated `[w]here the plaintiff has actual notice . . . and has relied upon these documents in framing the complaint." Id. (quoting Burlington, 114 F.3d at 1426). "[W]hat is critical is whether the claims in the complaint are `based' on an extrinsic document and not merely whether the extrinsic document was explicitly cited." Id. (quoting Burlington, 144 F.3d at 1426). In the present case, neither party briefed or otherwise discussed the Court's ability to consider CBIZ's attachments. Yet, because the Court views CBIZ's report to be "integral to" the Complaint, the Court will consider the "disclaimer" contained within CBIZ's attachment to its brief.
This purported "disclaimer" fails to undermine the reasonableness of UPMC's reliance, primarily because, as UPMC points out, this "disclaimer" is not a disclaimer at all. Unlike those non-binding cases cited by CBIZ, which contain unequivocal statements of limitation for specific purposes, the "disclaimer" simply states that the report was prepared "for the purposes of fulfilling the employer financial accounting requirements." (ECF No. 13-1 at 3.) It does not contain any words of limitations or indicate that the report can be used "solely" or "only" for a particular purpose. Cf. Ellis v. Grant Thornton LLP, 530 F.3d 280, 285 (4th Cir. 2008) (directly stating that the report "should not be used by third parties for any other purpose"); SC&E Admin. Servs., Inc. v. Deloitte, No. A-05-CA-929-SS, 2006 WL 6747974, at *10 (W.D. Tex. July 25, 2006) (directly stating that the report is "solely for the use of, and only to be relied upon by" the defendant). When all reasonable inferences from the alleged facts are made in the light most favorable to UPMC, see Phillips, 515 F.3d at 338, this broad and generic statement that the report is for "financial accounting requirements" scarcely makes it unreasonable to rely on the report to judge the extent of the pension liabilities for which the report was created to calculate.
In fact, when the entire "disclaimer" is read in the light most favorable to UPMC, it has quite the opposite effect of that CBIZ seeks to attribute to it. The "disclaimer," which appears to be signed and dated by Ketzner, is entitled "Actuary's Disclosure Statement." (ECF No. 13-1 at 3.) It states that the report's actuarial computations comply with appropriate GAAP standards, indicates that Ketzner is competent to perform those calculations, and confirms that CBIZ has no financial interest in Altoona. (ECF No. 13-1 at 3.) If anything, under federal pleading standards, this "disclaimer" would make it more reasonable for UPMC to rely on the report.
Lastly, CBIZ argues that "UPMC must set forth `specific facts demonstrating that [it] exercised the due diligence that a reasonable person under all the circumstances would have exercised to protect [its] own interests.'" (ECF No. 13 at 18) (quoting Fulton Fin. Advisors, Nat. Ass'n v. NatCity Investments, Inc., Civil Action No. 09-4855, 2013 WL 5635977, at *13 (E.D. Pa. Oct. 15, 2013)). Because UPMC is a sophisticated party with hospital acquisition experience, CBIZ contends that it was unreasonable for UPMC to rely on CBIZ's report in determining Altoona's pension obligation. (Id.) In essence, CBIZ takes the position that UPMC acted unreasonably as a matter of law because UPMC chose to trust CBIZ's calculations as to Altoona's pension liabilities rather than independently investigating and calculating Altoona's pension liability. The Court does not find this argument compelling.
To the contrary, the Court agrees with UPMC that, if the Court accepted CBIZ's argument, Section 552 and Bilt-Rite would be rendered a virtual nullity. If it is considered unreasonable as a matter of law for a third party to rely on a professional's services and work product under these allegations, then Section 552 and Bilt-Rite's extension of liability to third parties would be nothing more than an illusion. The Court also agrees with UPMC that the cases cited by CBIZ are, by in large, simply persuasive authorities and are distinguishable because of higher pleading standards, different procedural posture, or dissimilar facts.
CBIZ asks the Court to impose a "due diligence" requirement on UPMC. But, neither Section 552 nor Bilt-Rite use the term "due diligence." "Due diligence" could be viewed as nothing more than a reasonableness requirement, which Section 552 and Bilt-Rite clearly require in the form of justifiable reliance. Yet, depending on the context and precise usage of the term, "due diligence" can take on different meanings and impose a higher affirmative duty of thorough investigation.
Ultimately, "the issue of whether reliance on a representation is reasonable (or justifiable) is generally a question of fact that should be presented to the jury." Luther, 2008 WL 2397331, at *4 (quoting Dilworth v. Metro. Life Ins. Co., 418 F.3d 345, 354 (3d Cir. 2005); Trans v. Metro. Life. Ins. Co., 408 F.3d 130, 139 (3d Cir. 2005)). Reasonableness of reliance is "rarely susceptible of summary disposition." Williams Controls, Inc. v. Parente, Randolph, Orlando, Carey & Associates, 39 F.Supp.2d 517 (M.D. Pa. 1999) (quoting In re Atlantic Fin. Management, Inc. Sec. Litig., 718 F.Supp. 1003, 1008 (D. Mass. 1988)). The present case is not one of these rare instances, and Count 3 will not be dismissed for failure to allege duty or justifiable reliance.
Count 1 and Count 2 will not be dismissed because the Complaint sufficiently alleges damages. Count 2 will not be dismissed because the Complaint pleads a cognizable cause of action of professional negligence by an actuary. Count 3 will not be dismissed because the Complaint adequately alleges duty and justifiable reliance.
In sum, the presumptively true factual allegations of the Complaint plausibly give rise to entitlement to relief on all three counts. Thus, Defendants' Motion to Dismiss (ECF. No. 12) will be denied in its entirety
Restatement (Second) of Torts § 920 cmt. f (internal citations omitted).
Restatement (Second) of Torts § 552 cmt. h.
Bilt-Rite, 866 A.2d at 287 (emphasis added). Yet, Section 552 and the entirety of Bilt-Rite does not overtly endorse a reasonable foreseeability approach as to the existence of a professional's duty to third parties.